On November 3rd, nearly eighty Leadership Forum members representing the many stakeholder groups in our community met in Northern Kentucky at the METS Center to form a common understanding of how a variety of health and health care initiatives impact the triple aim: better health, better care and lower cost.

In the process, 12 tables of 6-8 each built scenarios using the ReThink Health predictive model.Alfonso

The scenarios reflected the initiatives and outcomes the table members felt were most important to our community.  While there were differences among the scenarios, they all had several things in common.  All 12 tables included the following initiatives:

  1. Healthy behaviors
  2. Care coordination
  3. Self care
  4. Improved primary care, or Patient-Centered Medical Homes

Following the meeting, we asked those who attended to study each other’s work and vote for their top three scenarios. The polling revealed that scenarios 1, 6, & 11 were most favored (click image to enlarge):

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Summary: The three favored scenarios were all top performers for reducing cost of care, all were on the lower end of program spending to carry out the initiatives, and all performed well on productivity. Results in the other categories measured in the model were mixed among the top performers. We also asked Leadership Forum members to respond to a series of survey questions.  To see more detail about the survey results, click here.

The Steering Committee met again on December 4th to review the results of the survey and discuss next steps. There was a rich and robust discussion about making sure we start small, with a manageable number of high-impact initiatives that are feasible and align with the capabilities of our stakeholders.

The Steering Committee is working on developing streamlined scenarios to bring back to the Leadership Forum, as we begin to transition from working with the predictive model to using our insights from the model to create initiatives we can all agree will work in our community, making the best use of the resources we currently have and have the capacity to create.

In the meantime, we are identifying community members to sit on a payment and funding work group which will look into payment reform as well as creative financing opportunities to fund new initiatives. Other work groups will be necessary and we are looking into the mechanics of forming those groups.

To view a photo slideshow of the November 3 event, please click here.